Electrocoagulation
Stevia
Plumbaginaceae
Organic Chemistry Phenomena
Hemostasis, Endoscopic
Peptic Ulcer Hemorrhage
Endoscopic retreatment compared with surgery in patients with recurrent bleeding after initial endoscopic control of bleeding ulcers. (1/403)
BACKGROUND AND METHODS: After endoscopic treatment to control bleeding of peptic ulcers, bleeding recurs in 15 to 20 percent of patients. In a prospective, randomized study, we compared endoscopic retreatment with surgery after initial endoscopy. Over a 40-month period, 1169 of 3473 adults who were admitted to our hospital with bleeding peptic ulcers underwent endoscopy to reestablish hemostasis. Of 100 patients with recurrent bleeding, 7 patients with cancer and 1 patient with cardiac arrest were excluded from the study; 48 patients were randomly assigned to undergo immediate endoscopic retreatment and 44 were assigned to undergo surgery. The type of operation used was left to the surgeon. Bleeding was considered to have recurred in the event of any one of the following: vomiting of fresh blood, hypotension and melena, or a requirement for more than four units of blood in the 72-hour period after endoscopic treatment. RESULTS: Of the 48 patients who were assigned to endoscopic retreatment, 35 had long-term control of bleeding. Thirteen underwent salvage surgery, 11 because retreatment failed and 2 because of perforations resulting from thermocoagulation. Five patients in the endoscopy group died within 30 days, as compared with eight patients in the surgery group (P=0.37). Seven patients in the endoscopy group (including 6 who underwent salvage surgery) had complications, as compared with 16 in the surgery group (P=0.03). The duration of hospitalization, the need for hospitalization in the intensive care unit and the resultant duration of that stay, and the number of blood transfusions were similar in the two groups. In multivariate analysis, hypotension at randomization (P=0.01) and an ulcer size of at least 2 cm (P=0.03) were independent factors predictive of the failure of endoscopic retreatment. CONCLUSIONS: In patients with peptic ulcers and recurrent bleeding after initial endoscopic control of bleeding, endoscopic retreatment reduces the need for surgery without increasing the risk of death and is associated with fewer complications than is surgery. (+info)Endovascular treatment of multiple aneurysms involving the posterior intracranial circulation. (2/403)
The results of surgery on multiple intracranial aneurysms tha involve the vertebrobasilar circulation are poor, and associated patient mortality remains high. We describe the endovascular treatment of four patients with mutiple aneurysms that involved the posterior intracrancial circulation. Satisfactory occlusion of all aneurysms was achieved by using electrolytically detachable coils, and all patients had a good clinical recovery. Our early experience suggests that endovascular coil occlusion may be a particularly suitable method for treating this high-risk condition. (+info)Comparison of adrenaline injection and bipolar electrocoagulation for the arrest of peptic ulcer bleeding. (3/403)
BACKGROUND: Peptic ulcers with active bleeding or a non-bleeding visible vessel require aggressive endoscopic treatment. AIMS: To determine whether endoscopic adrenaline injection alone or contact probe therapy following injection is a suitable treatment for peptic ulcer bleeding. METHODS: A total of 96 patients with active bleeding or non-bleeding visible vessels received adrenaline alone, bipolar electrocoagulation alone, or combined treatment (n=32 in each group). RESULTS: Initial haemostasis was not achieved in one patient in the adrenaline group, two in the gold probe group, and two in the injection gold probe group (p>0.1). Rebleeding episodes were fewer in the injection gold probe group (2/30, 6.7%) than in the gold probe group (9/30, 30%, p=0.04) and in the adrenaline group (11/31, 35.5%, p=0.01). Treatment failure (other therapy required) was rarer in the injection gold probe group (4/32, 12.5%) than in the adrenaline group (12/32, 37.5%, p=0.04). The volume of blood transfused after entry of the study was less in the injection gold probe group (mean 491 ml) than in the adrenaline group (1548 ml, p<0. 0001) and the gold probe group (1105 ml, p<0.01). Duration of hospital stay, numbers of patients requiring urgent surgery, and death rate were not statistically different among the three groups. CONCLUSIONS: For patients with peptic ulcer bleeding, combined adrenaline injection and gold probe treatment offers an advantage in preventing rebleeding and decreasing the need for blood transfusion. (+info)Electromagnetic interference of an external temporary pacemaker during maxillofacial and neck surgery. (4/403)
Indirect inhibition of an external temporary pacemaker by electrocautery is reported. Before induction of general anesthesia for a hemimaxillectomy and radical neck dissection, a temporary transvenous demand pacemaker was inserted into a patient with a first-degree atrioventricular block and complete left bundle-branch block. Although we provided common precautions to prevent electromagnetic interference by electrocautery, pacing failure still occurred. It was thought to be caused by current dispersing from the active electrocautery electrode. This case suggests that occipital placement of the electrocautery ground plate should be considered during neck surgery in a patient requiring a temporary pacemaker. (+info)Forebrain ischaemia with CA1 cell loss impairs epileptogenesis in the tetanus toxin limbic seizure model. (5/403)
There is a long-standing controversy as to whether Ammon's horn sclerosis is the result or the cause of severe limbic epilepsy. In the tetanus toxin model of limbic epilepsy, rats have intermittent spontaneous fits over a period of 3-6 weeks after injection of tetanus toxin into the hippocampus. The fits then usually remit and the EEG returns to normal. In a few rats, however, the fits recur some weeks to months later, and it was previously found that in these rats there was gross cell loss in area CA1 of the dorsal hippocampus (distant from the injection site in ventral hippocampus). Such cell loss might either promote recurrence of fits or be the result of the recurrence. In the present experiment, the effect of previous induction of CA1 cell loss by transient 4-vessel occlusion cerebral ischaemia on the subsequent development of the tetanus toxin-induced epilepsy was studied, using continuous time-lapse video monitoring to assess the number of fits. The hypothesis that the previous forebrain ischaemia would predispose rats to reoccurring fits was not supported: no rats in the ischaemia group had reoccurring fits and additionally fits were delayed and fewer occurred than in the control groups. (+info)Relation of cervical glandular intraepithelial neoplasia to microinvasive and invasive adenocarcinoma of the uterine cervix: a study of 121 cases. (6/403)
AIMS: To examine the relation between invasive adenocarcinoma and its alleged precursor, cervical glandular intraepithelial neoplasia (CGIN), and to assess the management and outcome of CGIN and the validity of using the term "microinvasive adenocarcinoma." METHODS: The clinical and pathological features of 121 cases of glandular neoplasia of the cervix diagnosed between the years 1990 to 1995 were examined for the following: histological diagnosis, smear records, type of treatment, the association between the precursor lesions and invasive disease, and follow up. RESULTS: 27 cases were identified as low grade CGIN (L-CGIN) and 38 as high grade CGIN (H-CGIN), 10 as microinvasive adenocarcinoma (less than 5 mm in depth), and 46 as invasive adenocarcinoma. The ratio of non-invasive to invasive disease was 1.12:1. The mean age of women was 39, 43, 43, and 48 years for L-CGIN, H-CGIN, microinvasive, and invasive adenocarcinoma, respectively. L-CGIN was seen in 13% and 18% of H-CGIN and microinvasive disease, respectively. H-CGIN was seen in 100% of microinvasive and 26% of invasive adenocarcinomas. The available smears before diagnosis predicted 59% of L-CGIN, 70% of H-CIGN, 100% of microinvasive adenocarcinoma, and 32% of invasive adenocarcinomas. Treatment of 74% of L-CGIN, 52% of H-CIGN, and 10% of microinvasive adenocarcinoma was by diathermy loop excision only. The remaining cases had hysterectomy. Residual disease was found in 43%, 50%, and 33% of hysterectomies for L-CGIN, H-CGIN, and microinvasive adenocarcinoma, respectively. This is correlated with positive margins, or disease within 3 mm of margins on loop specimens. Cervical smear follow up for two to seven years revealed no recurrence of glandular lesions in any of the cases of CGIN or microinvasive adenocarcinoma. CONCLUSIONS: Precursor glandular lesions tend to progress to invasive carcinoma. There is a progressive increase in age of patients from L-CGIN to invasive disease, a span of approximately 10 years. There is a high association between H-CGIN and invasive disease. In the management of such alleged precursors, it is important to ensure adequate free margins of at least 3 mm. Microinvasive adenocarcinoma appears to have an excellent prognosis if treated by hysterectomy. (+info)New bipolar diathermy forceps with automatic dripping and flushing--technical note. (7/403)
A new bipolar diathermy forceps system was developed to solve the problems of constant, pressure-limited flow rate, and one-sided irrigation. A roller pump, activated synchronously by pressing a foot switch, feeds dripping and flushing solution to the target tissue via the tip at both ends of the forceps. This system is volume-limited. Continuous compression of the foot switch first activates the flushing function, which continues for less than 1 second, during which time bleeding spots can be detected. The flow then changes automatically to the dripping function to suppress tip burning and prevent damage to the surrounding tissues from heat and current leakage. Repeated pressing of the foot switch initiates the jet irrigation function (continuous high flow rates), allowing irrigation of hematomas and removal of excess debris. (+info)Morphological changes induced by extensive endobronchial electrocautery. (8/403)
Due to recent improvements of safety conditions for therapeutic devices, electrocautery is being considered with renewed interest in the field of therapeutic bronchoscopy. The efficiency of this technique for destructing intraluminal tumours is well documented and makes it an attractive alternative to Yttrium aluminium garnet (YAG) laser photo-coagulation. Little is known, however, about the morphologic changes induced by electrocautery within the bronchial wall structures. This information is, however, important since electrocautery has been proposed as an alternative to other techniques to treat superficial tumours of the bronchial wall. Soft coagulation, with autostop, using two different power setting (40 and 120 W), produced by a new generation of high frequency voltage regulated generators was applied circumferentially to the trachea or left main bronchus, in a series of 52 piglets. Early (48 h) and late effects (6 weeks) were assessed through gross examination (bronchoscopy and autopsy) and light microscopy. Early effects of electrocautery included coagulation necrosis of the mucosa only and intense acute inflammation extending deep into the bronchial structure. The inflammatory phase progressively resolved while extensive transmural fibrosis and deterioration of the cartilage plates developed. The nature and extent of these lesions did not depend upon the energy delivered (40 W versus 120 W). Retractile scar formation and loss of cartilaginous support then produced iatrogenic secondary stenoses. These results do not question the use of electrocautery to palliate endoluminal tumours but should make operators careful when treating extensive infiltration of the bronchial wall. (+info)Electrocoagulation is a medical procedure that uses heat generated from an electrical current to cause coagulation (clotting) of tissue. This procedure is often used to treat a variety of medical conditions, such as:
* Gastrointestinal bleeding: Electrocoagulation can be used to control bleeding in the stomach or intestines by applying an electrical current to the affected blood vessels, causing them to shrink and clot.
* Skin lesions: Electrocoagulation can be used to remove benign or malignant skin lesions, such as warts, moles, or skin tags, by applying an electrical current to the growth, which causes it to dehydrate and eventually fall off.
* Vascular malformations: Electrocoagulation can be used to treat vascular malformations (abnormal blood vessels) by applying an electrical current to the affected area, causing the abnormal vessels to shrink and clot.
The procedure is typically performed using a specialized device that delivers an electrical current through a needle or probe. The intensity and duration of the electrical current can be adjusted to achieve the desired effect. Electrocoagulation may be used alone or in combination with other treatments, such as surgery or medication.
It's important to note that electrocoagulation is not without risks, including burns, infection, and scarring. It should only be performed by a qualified medical professional who has experience with the procedure.
Stevia is not a medical term, but a common name for a natural sweetener derived from the leaves of the Stevia rebaudiana plant. Here's a definition related to its use as a sweetener:
Stevia: A natural non-nutritive sweetener and sugar substitute derived from the leaves of the Stevia rebaudiana plant, which is native to South America. The sweetening compounds in stevia are called steviol glycosides, which have up to 350 times the sweetness of sucrose (table sugar) but contain minimal calories and do not raise blood sugar levels. Stevia extracts are often used as a sugar substitute in food and beverages, including drinks, desserts, and baked goods. It is also available in powdered or liquid forms for general use as a sweetener.
Plumbaginaceae is not a medical term, but a taxonomic category in botany. It refers to the family of flowering plants known as the leadworts or pinks, which includes around 850-900 species. Some members of this family contain the naphthoquinone compound plumbagin, which has been studied for its potential medicinal properties. However, Plumbaginaceae itself is not a medical term or concept.
I believe there may be some confusion in your question as "Organic chemistry phenomena" is a broad term and not a medical definition. However, I can provide you with an explanation of organic chemistry phenomena in a general context.
Organic chemistry is the study of carbon-containing compounds, their synthesis, reactions, properties, and structures. The term "organic" was originally used to describe biological materials, but now it refers to any compound that contains carbon atoms bonded to hydrogen atoms, except for some simple oxides, sulfides, and halides.
Organic chemistry phenomena encompass a wide range of processes and events related to organic compounds. These can include:
1. Structural properties: Understanding the arrangement of atoms in organic molecules and how they influence chemical behavior and reactivity.
2. Stereochemistry: The study of three-dimensional spatial arrangements of atoms in organic molecules, which can significantly impact their properties and biological activity.
3. Functional groups: Recognizing and understanding the behavior of specific groupings of atoms within organic molecules that determine their chemical reactivity.
4. Reaction mechanisms: Investigating and describing the step-by-step processes by which organic reactions occur, including the movement of electrons, formation and breaking of bonds, and energy changes.
5. Synthetic methodologies: Developing strategies and techniques for creating complex organic molecules from simpler precursors, often involving multiple steps and protecting group strategies.
6. Physical properties: Examining how factors such as molecular weight, polarity, solubility, and melting/boiling points affect the behavior of organic compounds in various conditions.
7. Spectroscopic analysis: Utilizing techniques like NMR (Nuclear Magnetic Resonance), IR (Infrared) spectroscopy, and mass spectrometry to analyze the structure and composition of organic molecules.
8. Biochemistry and medicinal chemistry: Exploring how organic compounds interact with biological systems, including drug design, development, and delivery.
While not a medical definition per se, understanding organic chemistry phenomena is crucial for many areas within medicine, such as pharmaceutical research, toxicology, and biochemistry.
Hemostasis, in general, refers to the process of stopping bleeding or hemorrhage, either naturally or through medical intervention. In the context of endoscopy, endoscopic hemostasis is the use of endoscopic techniques and devices to control gastrointestinal (GI) bleeding.
Endoscopes are flexible tubes with a light and camera at the tip, which are inserted into the body to visualize internal organs. In the case of GI endoscopy, the endoscope is inserted through the mouth or rectum to examine the esophagus, stomach, small intestine, large intestine, or rectum.
Endoscopic hemostasis techniques can be broadly categorized into two types:
- Mechanical methods: These involve the use of devices that physically occlude or constrict blood vessels to stop bleeding. Examples include hemoclips, which are metal clips that are deployed through the endoscope to grasp and compress a bleeding vessel, and band ligation, where a rubber band is used to strangulate a bleeding vessel.
- Thermal methods: These use heat to coagulate (seal) blood vessels and stop bleeding. Examples include monopolar and bipolar electrocoagulation, argon plasma coagulation, and laser coagulation.
Endoscopic hemostasis is an important tool in the management of acute GI bleeding, as well as prevention of rebleeding in patients with chronic or recurrent GI bleeding.
Peptic ulcer hemorrhage is a medical condition characterized by bleeding in the gastrointestinal tract due to a peptic ulcer. Peptic ulcers are open sores that develop on the lining of the stomach, lower esophagus, or small intestine. They are usually caused by infection with the bacterium Helicobacter pylori or long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs).
When a peptic ulcer bleeds, it can cause symptoms such as vomiting blood or passing black, tarry stools. In severe cases, the bleeding can lead to shock, which is a life-threatening condition characterized by a rapid heartbeat, low blood pressure, and confusion. Peptic ulcer hemorrhage is a serious medical emergency that requires immediate treatment. Treatment may include medications to reduce stomach acid, antibiotics to eliminate H. pylori infection, and endoscopic procedures to stop the bleeding. In some cases, surgery may be necessary to repair the ulcer or remove damaged tissue.
An electrode is a medical device that can conduct electrical currents and is used to transmit or receive electrical signals, often in the context of medical procedures or treatments. In a medical setting, electrodes may be used for a variety of purposes, such as:
1. Recording electrical activity in the body: Electrodes can be attached to the skin or inserted into body tissues to measure electrical signals produced by the heart, brain, muscles, or nerves. This information can be used to diagnose medical conditions, monitor the effectiveness of treatments, or guide medical procedures.
2. Stimulating nerve or muscle activity: Electrodes can be used to deliver electrical impulses to nerves or muscles, which can help to restore function or alleviate symptoms in people with certain medical conditions. For example, electrodes may be used to stimulate the nerves that control bladder function in people with spinal cord injuries, or to stimulate muscles in people with muscle weakness or paralysis.
3. Administering treatments: Electrodes can also be used to deliver therapeutic treatments, such as transcranial magnetic stimulation (TMS) for depression or deep brain stimulation (DBS) for movement disorders like Parkinson's disease. In these procedures, electrodes are implanted in specific areas of the brain and connected to a device that generates electrical impulses, which can help to regulate abnormal brain activity and improve symptoms.
Overall, electrodes play an important role in many medical procedures and treatments, allowing healthcare professionals to diagnose and treat a wide range of conditions that affect the body's electrical systems.